Wiwanto, Lynn

Wiwanto, Lynn is an individual health care provider with primary practice located at 23 Warren Ave Ste 100 , Woburn MA 01801-4979. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Wiwanto, Lynn can be contacted via phone (781) 933-1198.

Contact Information

Primary practice address
23 Warren Ave Ste 100 Woburn MA 01801-4979
Phone: (781) 933-1198
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1013861 Massachusetts

Profile Details

NPI number 1639707748
LBN Legal business name Wiwanto, Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated Apr 9th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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